2025-11-13T08:46:45-06:00 2024-12-31 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2024-01-01 010263198 Down East Community Hospital DOWN 2072553356 11 Hospital Drive Machias ME 04654 Lynnette Parr CFO & COO 2072553356 2025-11-12 1 1 Joseph R Byrne P01289281 2077752387 2025-11-12 2024 2025-03-06 01:10:19Z Steven Lail 11 Hospital Drive Machias ME 04654 64887664 0 X www.dech.org X 1960 ME Acute Care Critical Access Hospital 14 11 415 15 0 0 683205 28064 61067667 63708508 507577 1075222 0 0 62258449 64811794 0 0 0 0 30686776 32787111 0 0 0 32257613 27698730 62944389 60485841 -685940 4325953 48054897 55788811 17064024 20519703 30990873 35269108 X Provide access to quality healthcare and promote community wellness through the delivery of primary, emergency, and ancillary inpatient and outpatient healthcare. The Hospital strives to improve the overall health of the communities we serve while exceeding customer expectations. 0 0 3811928 10165774 Surgical services to inpatients and outpatients, totaling 2,209 surgeries. 3273653 2849004 Care for medical/surgical unit patients. Unit provided care to 537 admissions for 2,217 patient days & 15 swing bed admissions for 223 swing bed days. 3653423 15238341 Imaging Services to inpatients and outpatients. 20,915 radiological exams were provided to inpatients and outpatients. 43773587 35455639 Various other medical services supplied to patients. 43773587 35455639 54512591 1 0 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 82 0 1 415 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 11 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 ME X X Lynnette Parr 2072553356 11 Hospital Drive Machias ME 04654 Jacqueline O'Clair Board Chair 5.00 1.25 X X 0 0 0 Judd Bragg Vice Chair 1.50 1.25 X X 0 0 0 Ian Pratt Treasurer 1.50 1.25 X X 0 0 0 Nate Martel Secretary 1.50 1.25 X X 0 0 0 Jack Corrigan Trustee 1.50 1.25 X 0 0 0 Michael Hennessey Trustee 1.50 1.25 X 0 0 0 Betty Marshall Trustee 1.50 1.25 X 0 0 0 Corey Schwinn Trustee 1.50 1.25 X 0 0 0 Julie Jordan Trustee 1.50 1.25 X 0 0 0 Jody Dennison Trustee 1.50 1.25 X 0 0 0 Dwight Perkins Trustee 1.50 1.25 X 0 0 0 Tom Moholland Past Trustee 1.50 1.25 X 0 0 0 Christian Inegbenijie MD Past Trustee 38.75 1.25 X 531140 0 49368 Rita Ten MD Trustee 36.00 1.25 X 516607 0 53274 Steven Lail CEO 38.75 1.25 X X 416738 0 39704 Howard Raymond Trustee 54.75 1.25 X 505553 0 44999 Lynnette Parr CFO & COO 38.75 1.25 X 316917 0 42801 Elaine Mau Physician 30.00 0.00 X 591404 0 35530 Stephen Madigan Physician 40.00 0.00 X 472391 0 43787 Stephen J Salzer Physician 40.00 0.00 X 466915 0 8576 Adrian Amin Physician 26.00 0.00 X 362250 0 4698 Matthew Kerr Physician 40.00 0.00 X 340605 0 15047 Aziz Massaad MD Former Trustee 30.00 0.00 X 985763 0 0 5506283 0 337784 54 1 1 0 Medefis PO Box 5068 New York NY 100875068 Temporary Personnel 2908757 Down East Medical Associates PO Box 317 Machias ME 04654 Professional Fees 985763 Mark Hirschorn 17 Squier Lane Kennebunkport ME 04046 Professional Fees 682015 Virtual Radiological Corp 25983 Network Place Chicago IL 60673 Professional Fees 538426 Machias Primary Care PO Box 398 Machias ME 04654 Professional Fees 417876 22 28064 28064 Net Patient Service Revenue 621400 62280357 62280357 Other Revenue 621400 1428151 1333325 94826 63708508 768852 768852 382240 75870 306370 306370 306370 64811794 63613682 0 1170048 X 2517101 1700941 816160 23452473 20877964 2574509 730842 641584 89258 4432224 3796625 635599 1654471 1406300 248171 106417 3976 102441 115600 115600 11600157 10798178 801979 59243 25 59218 458543 409033 49510 2248215 2248215 56765 39209 17556 358986 358986 2222186 2222186 738284 649690 88594 Supplies 7017050 7008403 8647 Dues and Subscriptions 1178679 1177483 1196 Service Provider Tax 1032254 1032254 Miscellaneous Expense 506351 141539 364812 60485841 54512591 5973250 0 X 1687 1845 14560328 24067799 50000 0 5371836 4767286 642961 653602 264078 372764 51436485 31841226 20900632 19595259 4659925 5088245 953503 1242011 649947 0 48054897 55788811 6024313 5617550 9265932 8784576 791574 330198 982205 5787379 17064024 20519703 X 29323414 33563012 1667459 1706096 30990873 35269108 48054897 55788811 X 4325953 2282 -50000 X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 4738 4738 0 Part II-B, Line 1: The Organization pays dues to local associations, a portion of which are attributable to lobbying activities. 4160424 432386 29558 4563252 3867109 320608 27293 4160424 4166812 -272885 26818 3867109 3656720 537207 27115 4166812 3474337 206918 24535 3656720 0.20000 0.80000 0.00000 0 0 257946 257946 25076078 13852745 11223333 25079083 17084145 7994938 1023378 904336 119042 19595259 Lease Liability 1284270 Estimated Third-Party Payor Settlements 4503109 5787379 Part V, Line 4: Growth of investment to provide earnings that will support operations. 1 1 1 X 1 X 1 1 0 1 1 96370 96370 0.00160 12822305 12776296 46009 0.00080 14028683 13503812 524871 0.00870 26947358 26280108 667250 0.01110 36388 36388 0.00060 79973 79973 0.00130 1430008 1430008 0.02360 1546369 1546369 0.02550 28493727 26280108 2213619 0.03660 1 13503812 14028691 -524879 X 1 1 1 1 Down East Community Hospital 11 Hospital Drive Machias ME 04654 www.dech.org 39816 X X X X Down East Community Hospital 1 0 0 1 X X X X X X X X 22 1 1 1 1 X dech.org/community-health-needs-assessment/ X http://www.mainechna.org X 1 22 1 dech.org/community-health-needs-assessment/ 0 1 X 150.000000000000 200.000000000000 X 1 1 X X X X 1 X dech.org/financial-assistance/ X dech.org/financial-assistance/ X dech.org/financial-assistance/ X X X X X X 1 X 0 X X X X 1 X 0 0 Down East Community Hospital Part V, Section B, Line 5: The 2019 Maine Shared Community Health Needs Assessment was born out of a unique public-private partnership. The partnership began as the OneMaine Health Collaborative in 2007, involving Northern Light Health (formerly Eastern Maine Healthcare Systems), MaineGeneral Health, and MaineHealth. After conversations with the Statewide Coordinating Council for Public Health, the Maine Center for Disease Control and Prevention, an office of the Department of Health and Human Services joined in 2012. In 2013, Central Maine Healthcare joined the group and in 2014 a charter was drafted by all five partners to guide a statewide assessment process. The shared CHNA includes a large set of statistics on health status and risk factors from existing surveillance and health data sets.This 2022 CHNA includes input from a broad set of stakeholders from across the state as facilitated by the Steering Committee, Metrics Committee & Community Engagement Committee. Community outreach and engagement for the Maine Shared CHNA included coordination at the statewide, public health district & county level. In addition to the state-level Community Engagement Committee, a local community engagement planning committee for Washington County planned and implemented the logistics of community forums within the county. The committee was compromised of hospitals, public health district liaisons and a variety of additional partners. Down East Community Hospital Part V, Section B, Line 6a: The Hospital participated in the statewide community health needs assessment along with the following Maine hospitals:Northern Light Health Member Organizations: Acadia Hospital; Blue Hill Memorial Hospital; Charles A Dean Memorial Hospital; Eastern Maine Medical Center, Inland Hospital, Mercy Hospital; Sebasticook Valley Hospital, Maine Coast Hospital, AR Gould Hospital; Maine Health Affiliated: Southern Maine Healthcare, Maine Medical Center, Spring Harbor, Stephens Memorial Hospital, Franklin Memorial Hospital, Lincoln Health, Waldo County General Hospital, Pen Bay Medical Center; CMHC Affiliated: Bridgton Hospital, Central Maine Medical Center, Rumford Hospital; York Hospital; NE Rehabilitation; St. Mary's Regional Medical Center; Mid Coast Hospital; Maine General Health; Reddington-Fairview General Hospital; Millinocket Regional Hospital; Penobscot Valley Hospital; St. Joseph Hospital; Mayo Regional Hospital; Calais Regional Hospital; Mt. Desert Island Hospital; Cary Medical Center; Houlton Regional Hospital and Northern Maine Medical Center.The Maine Shared Community Health Needs Assessment (Maine Shared CHNA) is a collaboration between Central Maine Healthcare (CMHC), Maine Center for Disease Control and Prevention (Maine CDC), MaineGeneral Health (MGH), MaineHealth (MH), and Northern Light Health (NLH). The vision of the Maine Shared CHNA is to turn health data into action so that Maine will become the healthiest state in the U.S. Down East Community Hospital was an active participant in the process. Down East Community Hospital Part V, Section B, Line 6b: The Hospital's CHNA was conducted with the following community non-hospital organizations:Aroostook Mental Health Center, Calais Community Hospital, City of Calais Community Caring Collaborative, Community Health & Counseling Services/Mental and Behavioral Health, Community Health & Counseling Services/Home Health & Hospice Community members, Comprehensive Cancer Control Program, Down East Community Hospital, Downeast Public Health District, University of Maine Downeast Rural Health Collaborative Institute, Eastern Area Agency on Aging, Eastport Health Care, Harrington Family Health Center, Healthy Acadia Maine Community Foundation, Maine Department of Health and Human Services, Maine Hospice Council, Maine Mobile Health Program, Maine Seacoast Mission, Maine Senator Marianne Moore, Maine State Police, NextStep Domestic Violence Project, Northern Light Health, Office of Aging and Disability Services, Department of Health and Human Services, Penobscot Community Health Care, Public Health Nursing, Maine Center for Disease Control and Prevention, St. Croix Regional Family Health Center, Strategic Wisdom Partners, Sunrise County Economic Council, UMaine Center on Aging Senior Companion Program, The University of Maine at Machias, US Senator Susan Collins' Office, Washington County Community College. Down East Community Hospital Part V, Section B, Line 11: DECH addressed the needs in its most recent CHNA by preparing and adopting an implementation strategy. DECH plans to address all priorities identified through the management and budget of community benefit activities. In addition, DECH also takes advantage of partnering with other community plans by participating, supporting or promoting programs which support community health needs. DECH's detailed implementation strategy can be found on the hospital website, www.dech.org. Part I, Line 6a: The senior leadership team, with approval by the board of trustees, manages the community benefit activities of the Hospital. An expense budget is identified annually for community benefit activities. Community benefit activities are reported each year in the Hospital's annual report. Part III, Line 4: See Pages 11-14 of the attached audited financial statements for footnote disclosure. Part III, Line 8: Down East Community Hospital is paid by Medicare as a critical access hospitals (CAH). Most inpatient and outpatient services are reimbursed at 101% of reasonable costs. Beginning in 2013, Critical Access Hospitals reimbursement was reduced by 2% due to a Federal sequestration. Physician and practitioner bills are paid for professional Medicare services using the Physician Fee Schedule (PFS). The amount to provide services to Medicare costs more than the revenue generated from services to Medicare patients. We consider direct shortfall the organization sustains for providing these services a community benefit. Part III, Line 9b: The financial assistance policy that is referred to in the billing & collection policy states that based on the financial assistance level approved, an eligible individual will not be billed for services or any amount not paid by an insurer or medical assistance program if the person has been qualified for financial assistance. Part VI, Line 2: See Schedule H, Part V, Section C. Part VI, Line 3: DECH has a financial assistance policy that outlines all the discounted cost opportunities that the Hospital has to offer. The complete financial assistance policy, plain language summary, and free care application is located on the Hospital's website at www.dech.org. Copies of the plain language summary is also posted in all main waiting areas of the facility and satellite locations and full copies of the policy can be obtained per request and without charge. Annually, DECH also advertises its plain language summary in local media outlets.Each patient is given the Hospital's financial assistance policy plain language summary prior to the commencement of each date of service. The summary and contact information to obtain a free care application is also listed on the patient's bill. At every opportunity, the Hospital's billing specialists and financial counselors will communicate our policies to patients after billing and encourage patients to apply for financial assistance. During discussions, if patients are identified to be eligible for other governmental insurances, DECH will assist the patient with the application process if requested by the patient. Part VI, Line 4: Demographics:Washington County is one of two counties in the Downeast Public Health District. The population of Washington County is 31,491 and 30.8% of the population is 65 years of age or older. The population is predominantly white (90.8%); 2.4% are Hispanic, and 2.1% are two or more races. The median household income is $41,347, over $15,000 less than the state average. The high school graduation rate (84.4%) was lower than the state (87.4%). The percentage of the population with an associate degree or higher was (31.2%) which was lower than the state (41.9%).Quantitative Evidence:In Washington County:The percentage of the population that was uninsured was higher than the state overall (12.9% vs. 7.9%) in 2015-2019.The percentage of the population who reported an inability to access healthcare due to cost was higher than the state overall (13.0% vs. 10.6%) from 2015-2017.The percentage of the population with a usual primary care provider was significantly lower than the state overall (82.4% vs. 87.9%) in 2015-2017.The percentage of the population with a primary care visit to any provider in the past year was significantly lower than the state overall (82.4% vs. 87.9%) in 2015-2017.The percentage of individuals living in poverty was higher than the state (18% vs. 11.8%) and the percentage of children living in poverty was significantly higher than the state (24.6% vs. 13.8%). Part VI, Line 5: The Hospital furthers its exempt purpose by promoting the health of the community. The board consists of volunteer community members that are elected by the Corporators of the Hospital.The Hospital has an open medical staff where all applicants have the opportunity to obtain membership as long as the guidelines as determined by the medical staff bylaws are met. X X X X 0 0 0 0 0 0 0 1 0 Aziz Massaad MD Former Trustee 985763 0 0 0 0 0 0 0 0 0 985763 0 0 0 Elaine Mau Physician 382259 0 209145 0 0 0 18356 0 17174 0 626934 0 0 0 Christian Inegbenijie MD Past Trustee 511140 0 20000 0 0 0 23033 0 26335 0 580508 0 0 0 Rita Ten MD Trustee 516607 0 0 0 0 0 22792 0 30482 0 569881 0 0 0 Howard Raymond Trustee 468284 0 27269 0 10000 0 18356 0 26643 0 550552 0 0 0 Stephen Madigan Physician 472391 0 0 0 0 0 21150 0 22637 0 516178 0 0 0 Stephen J Salzer Physician 466915 0 0 0 0 0 0 0 8576 0 475491 0 0 0 Steven Lail CEO 403546 0 11000 0 2192 0 16061 0 23643 0 456442 0 0 0 Adrian Amin Physician 339750 0 12500 0 10000 0 0 0 4698 0 366948 0 0 0 Lynnette Parr CFO & COO 299670 0 15000 0 2247 0 19228 0 23573 0 359718 0 0 0 Matthew Kerr Physician 328105 0 12500 0 0 0 0 0 15047 0 355652 0 0 0 Part I, Line 7 Bonuses awarded to physicians, CEO and CFO/COO are based on three categories: Retention, RVU, or sign on. Form 990, Part VII, line 5: Aziz Massaad, Former Trustee, is paid by Down East Medical Associates, an unrelated organization. During calendar year 2024, Down East Community Hospital paid Down East Medical Associates $985,763 for services rendered to Down East Community Hospital. The actual compensation paid to Dr. Massaad by Down East Medical Associates is not known to the Organization. As such, pursuant to the Form 990 instructions, the Organization is reporting the amount paid for services rendered as compensation to Dr. Massaad, and is reporting this amount on Form 990, Part VII, Column D. A Maine Health and Higher Educational Facilities Authority 010314384 56044RUP5 2019-11-04 6515000 Finance Rural Health Clinic and Electronic Medical Records System 0 0 1 B Maine Health and Higher Educational Facilities Authority 010314384 2020-10-22 3910000 Refinancing of USDA Note Payable 0 0 1 A 1673050 7556996 523050 83200 6950746 2019 0 0 1 1 B 540000 4186343 273100 82411 3830832 2020 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 1 0 0 0 0 0 B 0 0 1 0 0 0 0 0 0 A 0 B 0 Part II, Line 3 The total proceeds of issue listed on line 3 differ from the issue prices listed on Part I due to the amount of premiums of each bond. Downeast Medical Associates Entity more than 35% owned by Aziz Massaad, Former Trustee 985763 Independent Contractor Agreement for Medical Services Rendered 0 Form 990, Part VI, Section A, line 2 Aziz Massaad, Former Trustee, and Rita Ten, current Board Trustee, have a family relationship. Form 990, Part VI, Section A, line 6 The members of the Organization, known as "Corporators," shall be those individuals who are Corporators of Down East Community Hospital as of January 1, 2011, and such other individuals as may be elected to membership in this Corporation by a majority vote of (i) those Corporators present at the Annual Meeting of this Corporation; or (ii) the Board of Trustees. A Corporator is elected for life, unless the Corporator voluntarily resigns, or the Corporator fails to attend two successive annual meetings of the Corporation without prior notice. Additionally, those individuals who are appointed as members of the Active Medical Staff of Down East Community Hospital are eligible to serve as Corporators during the period of their appointment to the Active Medical Staff if so desired. Form 990, Part VI, Section A, line 7a The Corporators shall elect the Trustees of this Corporation from a slate of nominees presented by the Nominating Committee in accordance with the provisions of the Bylaws. Form 990, Part VI, Section B, line 11b The 990 is reviewed by the CEO and CFO & COO and a copy is provided to the full board before filing. Form 990, Part VI, Section B, line 12c To monitor compliance with the conflict-of-interest policy for the Organization, each member of the board of trustees is required annually to submit a conflict-of-interest document and the compliance officer verifies the receipt of these documents. The compliance officer also reviews payments issued to the board of trustees and any contracts in effect with board members. All new employees sign a conflict-of-interest statement at the time of hire. Form 990, Part VI, Section B, line 15a The Organization has a CEO Compensation committee. This committee is responsible for evaluating compensation. Committee meetings are documented with minutes. The CEO for the Organization is determined by a vote of the full Board of Trustees and the existence of a legal contract. Form 990, Part VI, Section C, line 19 The financial statements and annual report are made available to the public upon request. The annual report is also available on the hospital website. The Organization's governing documents and conflict of interest policy are not made available to the public. Form 990, Part IX, line 11g Purchased Services: Program service expenses 2,089,994. Management and general expenses 801,979. Fundraising expenses 0. Total expenses 2,891,973. Professional Fees: Program service expenses 4,349,913. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,349,913. Temporary Personnel: Program service expenses 4,358,271. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,358,271. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Down East Community Hospital 11 Hospital Drive Machias, ME 04654 EIN: 01-0263198 Down East Community Hospital is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Change in Pledge Receivables -50,000. Sunrise Healthcare 11 Hospital Drive Machias ME 04645 222582949 Community Healthcare ME 501(c)(3) Line 7 Down East Community Hospital 1 Calais Community Hospital 24 Hospital Lane Calais ME 04619 862728785 Hospital ME 501(c)(3) Line 3 Down East Community Hospital 1 Down East Community Condominium Association 11 Hospital Drive Machias ME 04654 464163934 Management Services ME Down East Community Hospital C 9860 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 Calais Community Hospital O 806740 Expenses Incurred Calais Community Hospital Q 423395 Expenses Incurred Sunrise Healthcare Q 74327 Expenses Incurred